Clinical examination techniques need to allow the physician to determine the underlying pathology of a patient’s condition with confidence. This review examines the evidence for two common conditions: impingement and rotator cuff disease
NordtWE IIIGarretsonRB IIIPlotkinE. The measurement of subacromial contact pressure in patients with impingement syndrome. Arthroscopy1999; 15: 121–5.
2.
NicholsonGPGoodmanDAFlatowELBiglianiLU. The acromion: morphologic condition and age-related changes. A study of 420 scapulas. J Shoulder Elbow Surg1996; 5: 1–11.
3.
GageyNRavaudELassauJP. Anatomy of the acromial arch: correlation of anatomy and magnetic resonance imaging. Surg Radiol Anat1993; 15: 63–70.
4.
FunkLLevyOEvenTCopelandSA. Subacromial plica as a cause of impingement in the shoulder. J Shoulder Elbow Surg2006; 15: 697–700.
5.
HurtGBakerCLJr. Calcific tendinitis of the shoulder. Orthop Clin North Am2003; 34: 567–75.
6.
TsaiYHHuangTJHsuWHHuangKCLiYYPengKTHsuRW. Detection of subacromial bursa thickening by sonography in shoulder impingement syndrome. Chang Gung Med J2007; 30: 135–41.
7.
MichenerLAMcClurePWKardunaAR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech (Bristol, Avon)2003; 18: 369–79.
8.
NeerCSWelshRP. The shoulder in sports. Orthop Clin North Am1977; 8: 583–591.
9.
HawkinsRJKennedyJC. Impingement syndrome in athletes. Am J Sports Med1980; 8: 151–8.
10.
PappasGPBlemkerSSBeaulieuCFMcAdamsTRWhalenSTGoldGE. In vivo anatomy of the Neer and Hawkins sign positions for shoulder impingement. J Shoulder Elbow Surg2006; 15: 40–9.
11.
HegedusEJGoodeAPCookCE. Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests. Br J Sports Med2012; 46: 964–78.
12.
HegedusEJGoodeACampbellS. Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests. Br J Sports Med2008; 42: 80–92.
13.
LimJTAcornleyADodenhoffRM. Recovery after arthroscopic subacromial decompression: prognostic value of the subacromial injection test. Arthroscopy2005; 21: 680–3.
14.
BrookhamRLMcLeanLDickersonCR. Construct validity of muscle force tests of the rotator cuff muscles: an electromyographic investigation. Phys Ther2010; 90: 572–80.
15.
KimHMTeefeySAZeligAGalatzLMKeenerJDYamaguchiK. Shoulder strength in asymptomatic individuals with intact compared with torn rotator cuffs. J Bone Joint Surg Am2009; 91: 289–96.
16.
ParkHBYokotaAGillHSEl RassiGMcFarlandEG. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am2005; 87: 1446–55.
17.
BurkhartSS. Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop Relat Res1991; 267: 45–56.
18.
GilloolyJJChidambaramRMokD. The lateral Jobe test: A more reliable method of diagnosing rotator cuff tears. Int J Shoulder Surg2010; 4: 41–3.
19.
HertelRBallmerFTLombertSMGerberC. Lag signs in the diagnosis of rotator cuff rupture. J Shoulder Elbow Surg1996; 5: 307–13.
20.
WalshGBoulahiaACalderoneS. The ‘Dropping’ and ‘Hornblower’s’ signs in evaluation of rotator cuff tears. J Bone Joint Surg Br1998; 80: 624–628.
21.
GerberCHerscheOFarronJ. Isolated rupture of the subscapularis tendon. J Bone Joint Surg Am1996; 78: 1015–1023.
22.
BarthJRBurkhartSSDe BeerJF. The bear-hug test: a new and sensitive test for diagnosing a subscapularis tear. Arthroscopy2006; 22: 1076–84.
23.
GerberCKrushellRJ. Isolated rupture of the tendon of the subscapularis muscle. Clinical features in 16 cases. J Bone Joint Surg Br1991; 73: 389–94.
24.
ChaoSThomasSYuchaDKellyJD IVDribanJSwanikK. An electromyographic assessment of the ‘bear hug’: an examination for the evaluation of the subscapularis muscle. Arthroscopy2008; 24: 1265–70.
25.
TokishJMDeckerMJEllisHBTorryMRHawkinsRJ. The belly-press test for the physical examination of the subscapularis muscle: electromyographic validation and comparison to the lift-off test. J Shoulder Elbow Surg2003; 12: 427–30.
26.
YoonJPChungSWKimSHOhJH. Diagnostic value of four clinical tests for the evaluation of subscapularis integrity. J Shoulder Elbow Surg2013; 22: 1186–92.